SHANNON WALLACE FNP-C
NPI 1992699326
Nurse Practitioner - Family in Buffalo, MO
About Shannon Wallace Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON WALLACE FNP-C (NPI 1992699326) is an individual family provider in Buffalo, Missouri, licensed in Missouri (2025020699) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Wallace Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65622 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Wallace's NPI number?
The NPI number for Shannon Wallace is 1992699326. It was assigned to this individual provider in the NPPES registry on June 9, 2025.
Where is Shannon Wallace located?
Shannon Wallace practices at 201 S Ash St, Buffalo, MO 65622. The listed phone number is (417) 325-6000.
What is Shannon Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Wallace enrolled in Medicare?
Yes. Shannon Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Shannon Wallace accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Shannon Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shannon Wallace affiliated with any hospitals?
According to CMS data, Shannon Wallace is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shannon Wallace was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shannon Wallace, FNP-C · NPI 1992699326
Family physician in Buffalo, Missouri. Individual provider, active in the CMS NPPES registry since June 9, 2025.
## Identity
- **NPI:** 1992699326 (Entity type: Individual)
- **Enumerated:** June 9, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2025020699 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 S ASH ST, Buffalo, MO 65622-8674
- **Phone:** (417) 325-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1992699326) · Data from the CMS NPPES public registry.